HomeMy Public PortalAbout5707 ROWLAND AVE_Electrical__ 'BAeee-°EBQB,.>,B APPLICATION FOR ELECTRIC PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
CASSATT D. GRIFFIN,SUPT OF BUILDING LOCALITY .
FOR APPLICANT TO FILL IN NEAREST
PERM FEES CROSS ST
I T E M I NUMHERJ EACH PER OWNER
OUTLET �J $
. $ MAIL l
LIGHTS RWEPTp(, .. 10 ADDRESSwd
r
LIGHTING FIXTURES .16
Q CITY TEL. O.
ELEC. RANGES CLO. DRYERS ELECTRICIAN
WATER HEATERS .5O. ADDRESS ' r
ELEC.SPACE HTRS. DISHWASHERS
43
CITYTEL. NO.
GARBAGE DISPOSERS AUTO.- STATE
WASHERS STA. COOKING UNITSQ, .25 LICENSE NO.
MOTORS: OVER INC. H.P. DISTRICT NO. I 7r ONE i PROCESSED BY
0— va O .28 A.
1/a— 2 SO ngSPE=ON RECORD
2— 5 1.00
5— 18 1.50 p
18— SO 2.50 / ,5 U
SO—200 5.00 7 r eol
SIGNS: NO. TRANS. 7e/ s
NO. LAMPS
'74'
SERVICE O-SOOV 1.00 - t
SERVICE OVER SOOV 5.00
MISC. -i
�-
-
WIRING PERMIT 1.00 /j y 46
FIXTURE
6 ._
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT 50 � �a ,tyt - G .f?s�aw,�e(Gu r'
TOTAL FEE APPROVALS
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION DATE INSPECTOR-gj SIPHATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT S 2
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
.1 HEREBY CERTIFY THAT I AN PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND.STATE OF FIXTURES
CALIFORNIA OR THAT M THE LEGAL OWN OF THE ABOVE
DESCRIBED RESIDENTI P PERTY POWER
SIGNATURE UTILITY CO.NOTIFIED S l? f
OF PERMITTEE FINAL V ! J1
,3 LMATION ARTHUR C.' VEIT,
tQ
No CASH SUPERVISING ELECTRICAL ENGINEER
�./I to 3 b.8 6M rpt 5 2 A 12.5 5 A
S
7GA663_CEDOG-11_B7APPLICATION FOR ELECTRIC PERMIT 1`
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BMDING AND SAFETY DMSION ADDRESS
rr011ri A:.LAMBIB: Coua1T es
CASSATT D.GRIFFIN.Sup!of$u9lding LOCALITY fiti. \
FOR APPLICANT TO FILL IN c.OSS ST. d
PERMT FEES �yJ
ITEM NUMBER A
EACH FEE OWNER
OUTLETS: $ $ MAIL
LIGHTS RECEPT. w.. 10 ADDRESS d
LIGHTING FIXTURES .10 CITY i-Y.6 NO. Q
ELEC.RANGES CLO.DRYERS ELECTRICIA/Ny
WATER. HEATERS •50 ADDRESS
ELEC.SPACE HTRS. DISHWASHERS
GARBAGE DISPOSERS AUTO.- CITY TEL.NO.
el g Ad 41
WASHERS STA.COOKING UNITS .25 STATE / -
LICENSE NO. •(�
MOTORS: OVER INC. H.P.
DISTRICT N1, I GRO PZ NE READY FOR...I. T10N
O— 1/2 .25 f
1/2 — 2 .50
2 — 5 1.00
INSPECTION RECORD
5 — 15 1.50
15 SO 2.50
50— 200 5.00
SIGNS:' NO.TRANS. -
NO.LAMPS
SERVICE 0-SOOV 1.00 ate►
SERVICE OVER.600V 5.00
MISC.
WIRING PERMIT I.AO
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .50'
TOTAL FEE g APPROVALS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS PPLICATION DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
I HEREBY CERTIFY THAT 1 AM PROPERLY'REGISTERED AND/OR FIXTURES
LICENSED.AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE POWER
DESCRIBED RESIDENTIAL PROPERTY.
SIGNATURE UTILITY CO.NOTIFIED Et .�-
OF PERMITTE FINAL
IAT ARTH U RC.V EIT. �"�•
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
�; 2374� X11 2 A 2.20
75A6 -CEBQ�6l*-SP yAPPLICAT.ION FOR ELECTRICAL PER
-COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
13UILDING AND SAFETY DIVISION
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS e
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING _ LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
NO.. EACH FEE _
s $ OWNER
REGEPT, MAIL
LIGHT TOTAL FIRST 20 .20 ADDRESS.
SWITCH
.�' OVER 20. .10 CITY TEL. NO.
LIGHTING TOTAL ' FIRST 20 .20 CONTRACTOR EA w-
FIXTURES OVER 20 .10 ADDRESS
AANG:E'_DRYER_WTR.HTR._ _ CITY`&o /T'EL. NO. e(J
STA.COO K_D19P'._F.A.U._ LICENSE N.O. 17 -a- v7
.SPACE HTR. AIR COND. 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
CLOTHES WASH.-DISHWASH._ WITH. ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
E LECTR WAL WIRING.
FAN-OTHER. 1.001 1 HEREBY CERTIFY THAT 1 AM PROPERLY .REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND. STATE OF
MOTORS.,TRANSFORMERS RATINGCALIFORNIA OR THAT I AM THE LEGAL•OWNER OF',.AND INTEND TO
IND. HEATERS, ETC. HP. KW. KVA. RESIDE IN, THE ABOVE, DESCRIBED RESIDENTIAL PROPERTY.
SIZE & TYPE OVER TO SIGNATURE
0 — 1• 1.0.0 OF PERMITTEE d
1 - 10 3.00 DISTRICT N-01 GRO Z P O D B V
1.0 — so 5.00. O
50 — 100 1.0.00 NOTES: b
W
100 _ 500 15.00. D'
N.
SIGN,GAS
TUBE, OR SIGN AND ONE CIRCUIT 3.00
MARQU.EE ADDITIONAL CIRCUITS 1.00
'SERVICE NOT OVER 600 VOLTS.OR 200'AMP 2.00
SERVICE,OVER 600 VOLTS OR 200 AMP 5.00
TEMP SERVICE, POLE, &APPURTENANCES 3.00.
APPROVALS. DATE INS.PE OR'S 5 NA WRE
TEMP. POWER POLE
UNDERSLAB WORK.
ROUGH CONDUIT
WIRING
ISSUING FEE 2.001 t
FIXTURES
SUPPLEMENTARY ISSUING FEE 1.00 POWER AUTHORIZED
PERMIT.FEE UTILITY CO.NOTIFIED
PLAN.CHECK FEE (50% PERMIT FEE) .FINAL
TOTAL FEE O. JOSEPH C. ROOHAN.
SUPERVISING ELOCK..
AL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT,VALIDATION . M.O. CASH
-3.7.� 7 t t25 �}�= 3.20- cc
17
y'
EE BACK.OF APPLICATION FOR COMPLETE FEE SCHEDULE /C,G'l/Y//�"1'iYef/1'•�
WORKERS'COMPENSATION DECLARATION CE-806 1.0/87 APPLICATION FOR ELECTRICAL PERMIT
I r�tp+ reby affirm that I have a certificate of, consent to__Of f insure, CE-8060
0. certificate of Workers'Compensation Insur a certified i 'COUNTY OF LOS'ANGELES BUILDING AND SAFETY
copy thereof(Sec.3800,Lab.C.)
Policy No. in . I FOR APPLICANT TO FILL IN JOB
❑- Certified copy' am
furniahed: N.� Residential Bldgs.&Pools EACH NO. FEE ADDRESS
❑ Certif' copy is filed with the county building inspection 1 &2-Family,Sq.Ft. $ — $ LOCALITY
d rtment. Multi-family Sq.Ft: NEAREST
-CROSS ST.
Da Applicant Residential Swimming Pools OWNER.OR
FIRM NAME
• CERTIFICATE OF EXEMPTION FROM WORKERS' MAIL
First 2
COMPENSATION INSURANCE Outlets:Rec_Light_ t 20— ADDRESS'
(This section need not be completed,if the work Involved by the .
l No
permit is for one hundred dollars($100)or less.) Tota . Additional CITY f! Tel.No:
I certify that in the performance of the work for which.this.permit PLAN CHECK
is issuede I shall not employ.any person in eriy manner so as to APPLICANT
become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS
'Total No. Additional CITY Tel.No..
Date Applicani Fixed'Appliances Not Over 1 HP PERMIT
NOTICE TO.APPLICANT: If, after making this Certificate of i
Exemption,you should become subject to,the Workers'Compensation Range_ Heater_ D.W. _ APPLICA
r provisions of the Labor Code,you must forthwith comply with such -Oven Dryer.— W.M._ ADDRESS
provisions or this permit shall be deemed revoked. . CITY Tel.N".
Top. FAU WKo
• LICENSED CONTRACTORS DECLARATION Hood — Fan _ Other_' - ���k1
I hereby affirm that I,am licensed under provisions of Chapter 9 Disp. Room'Air Cond. LICENSE'OR
GJ O Class. -�'j(
(commREG.NUMBERencing with Section 7000)of Division 3 of the Business and �
Professions Code,and my license is-in full force and effect. pp r apparatus&Large Appliances DISTRICT NO. ��j�. �y/ PROCESSED BY
/ Slze&Type HP,KW,KVA,or KVAR
License Numb.1701PI,L Lic.Class�` Up to 1 Incl. FINAL (�
DATE
Over i,to 1VA TION
0.Incl. ,
Contrac�l+,„ Dam. + • Over 10 to 50 Incl.
FINAL
❑ I am exempt under Sec. i Over 50 to.100'Inc. BY W
B.&P.C.for this reason
Over'100 p.
Services,Swbd.,MCC&Panelboa�Ird
,/ N
Date. 0 .200 Amp.Under 600 V
polo
�:
Signature 201 - 1-000-Amp.Under 600 r
Over 1000 Amp.or Over 600 V
Exemption for Reg.Matnt.Elect..
, s
SINGLE FAMILY Temp.Power Pole&Appurtenances
HOME OWNER-BUILDER DEC TION Sign with-One Branch Circuit.
I hereby affirm that I am exempt from th.. ontraetor's License Law additional Sign Branch Circuits
for the following reason,(Section 703 Business and Professions
Code): ,
i
❑ Misc.Conduits,&Conductors
I,as owner of therprop will do the work and the structure. Other(See Complete Fee Schedule) _
is not intended or of red for sale (Section 7044, Business ►
and Professions C e),
CONST CTION LENDING AGENCY
I hereby,affirm the here is a construction lending agency for the
performance of t work for.-which this permit is'issued(Sec.3097, PERMIT FEE (Sub:Total)
CIV.CO.
PLAN CHECKING FEE t, �;, ; 7 ._I ;,� ly
Lender's N e ; •6 l yti�
PERMIT ISSUING FEE ,. •; ,� a. 1r+ ,� ,.a
Lenders Address r ' : , .7.1 ` r—
I certify that I have read this application and.state that the above TOTAL FEE I "+ I fl'
information is correct.1 agree to comply with all County ordinances
�i
and State laws regulating Electrical wiring, and hereby authorize
representatives of this C aunty to enter.upon the above-mentioned
props for' spectto
` SEE REVERSE FOR EXPLANATORY LANGUAGE T-ZO!7 , . - li
;U sti 9 Q !ri
Sig /nature. rmittee to rd [ .I �,
'COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1302060046
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BQILDING ADDRESS:
ITR: 6561 IT: 401 1 I 5707 ROWLAND AV
I FEE DESCRIPTION: QUANTITY: UOM: AMOUNT-[ TEMP CA 917802617 1
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LIVE OAK 1
18587-029-003 IA1 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY CAI
I IF1 120V, 15/20A BR CKTS 3.00 BR 51.90 1 1
(TENANT: IG1 OUTLETS-LGT,SW,RECP 47.00 OUT 75.30 (ISSUED ON: PROCESSED BY: PLAN BY: I
IG2 LIGHTING FIXTURES 25.00 LGT 45.70 02/07/13 SR 1
H2 RES GRBG DISP IT 3HP 1.00 DIS 11.00 1 I
[OWNER: TEL. NO: H3 RES DISHWASHR IT 3HP 1.00 DIS 11.00 IFINAL DATE FINAL BY: CODE: [
TRIEU, MAI (626) 315-6902- IH4 RES RANGE HDS IT 3HP 1.00 HOO 11.00 I I
5707 ROWLAND AV 1 TOTAL FEES 233.70 I 1
ITEMP 917802617 DIMCRIPTION OF WORK 1
1 I 13 BRANCH CIRCUITS, 47 OUTLETS, 25 LIGHT FIXTURES, GARBAGE [
IDISPOSAL, DISHWASHER AND RANGE HOOD I
(APPLICANT: TEL. NO: I I 1
ILO, GILBERT (626) 234-4118- I I I
�2200 S FREMONT AVE 1 ISPECIAL CONDITIONS: [
ALHAMBRA CA 91803
I I I I
ICONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE I
IG & YONG CONSTRUCTION INC (626) 234-4118- I 1
12200 S FREMONT AVE #200 LIC. NO 1 [TEMPORARY POWER POLE
1ALHAMERA CA 91803 795058 I [ I 1
1 (UNDERGROUND CONDUIT 1 1
(ARCHITECT OR ENGINEER: TEL. NO: I IUFER GROUND 1 1 I
LIC. NO: I IROUGH CONDUIT I I 1
TROUGH WIRING �I
I IMAIN WATER LINE 1 [ I
[ I IPLASTIC Y/N METAL Y/N I I 1
I I [UTILITY COMPANY NOTIFIEDI 1 [
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IREPORT ID: DPR265 ROUTE TO: ES0508 I I I 1
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